Chapter Eight – Patient Assessment

Flashcard maker : Sarah Adrian
Which of the following questions is used to determine a patient’s chief complaint?
\”What seems to be the matter?\”
When palpating the carotid pulse of a responsive older patient, you should:
avoid compressing both carotid arteries simultaneously.
Cyanosis of the skin is caused by:
decreased blood oxygen.
Clinical signs of labored breathing include all of the following, EXCEPT:
shallow chest movement.
A patient’s short-term memory is MOST likely intact if he or she correctly answers questions regarding:
date and event.
A blood pressure cuff that is too small for a patient’s arm will give a:
falsely high systolic and diastolic reading.
You respond to the scene of a motor vehicle collision. Upon arrival, you find the driver, a young female, sitting on the curb. She is confused, is in obvious respiratory distress, and has pale, moist skin. As your partner manually stabilizes her head, you perform a primary assessment. After performing any immediate livesaving treatment, you should:
perform a rapid scan of her entire body and prepare for immediate transport.
A 40-year-old male crashed his motorcycle into a tree. He is semiconscious, has snoring respirations, and has a laceration to the forearm with minimal bleeding. You should:
open his airway with the jaw-thrust maneuver.
After performing a primary assessment, a rapid scan of the body should be performed in order to:
identify less obvious injuries that require immediate transport.
The normal respiratory rate for an adult should range from:
12 to 20 breaths per minute.
A patient who does not respond to your questions but moves or cries out when his or her trapezius muscle is pinched, is said to be:
responsive to painful stimuli.
In patients with deeply pigmented skin, changes in color may be apparent only in certain areas, such as the:
lips
After the first 60 minutes of experiencing a significant injury:
the body’s ability to compensate for shock decreases.
When assessing motor function in a conscious patient’s lower extremities, you should expect the patient to:
wiggle his or her toes on command.
What part of the patient assessment process focuses on obtaining additional information about the patient’s chief complaint and any medical problems he or she may have?
history taking
When evaluating a patient with multiple complaints, the EMT’s responsibility is to:
determine which complaint poses the greatest threat to the patient’s life.
Palpating the carotid pulse is not recommended in infants because:
you may inadvertently compress the trachea.
A palpable pulse is created by:
pressure waves through the arteries caused by cardiac contraction.
Which of the following factors would MOST likely cause a patient’s pulse rate to be slower than normal?
beta-blocker medications
A patient with spontaneous respirations is breathing:
without assistance.
Which of the following statements regarding stridor is MOST correct?
It is a high-pitched, crowing upper airway sound.
Which of the following findings indicates that your patient has a patent airway?
forceful coughing
The full-body scan of a patient that occurs following the primary assessment should take no longer than:
60 to 90 seconds.
External bleeding from an extremity can usually be controlled by a combination of:
direct pressure and elevation.
Which of the following pupillary changes would indicate depressed brain function?
Both pupils dilate with introduction of a bright light.
Which of the following medical history questions would be of LEAST pertinence in an acute situation?
\”Does your mother have diabetes?\”
You are assessing a 72-year-old man with abdominal pain. The patient is sitting in a chair; he is conscious, alert, and calm. As you are talking to the patient, your partner discreetly directs your attention to a handgun, which is located on a nearby table. You should:
position yourself in between the patient and the gun and ask your partner to request law enforcement assistance.
Which of the following MOST accurately describes paradoxical movement of the chest wall?
only one section of the chest rises on inspiration while another area falls
You receive a call to a local daycare center for an unresponsive 8-month-old infant. Upon arrival, you perform an assessment and determine that the infant is not breathing. After delivering two rescue breaths, you should:
assess for the presence of a brachial pulse.
During an EMS call, you should take standard precautions:
upon exiting the ambulance, but before actual patient contact.
Which of the following situations or conditions warrants immediate transport?
severe chest pain and cool, pale skin
A 29-year-old male with a head injury opens his eyes when you speak to him, is confused as to the time and date, and is able to move all of his extremities on command. His Glasgow Coma Scale (GCS) score is:
13
Which of the following statements regarding the blood pressure is correct?
Blood pressure is usually not measured in children younger than 3 years of age.
A properly sized blood pressure cuff should cover:
two thirds the length from the armpit to the crease in the elbow.
A low ETCO2 reading, as measured by capnography, would MOST likely be observed if:
there is an absence or decrease in the level of CO2 in the lungs.
The chief complaint is MOST accurately defined as the:
most serious thing the patient is concerned about.
With regard to the assessment of a patient’s cardiovascular status, capillary refill time is MOST reliable in:
children who are younger than 6 years of age.
During a 30-minute transport of a stable patient, you should reassess him or her at least ________ times.
2

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